A patient, who is recovering from a second myocardial infarction refuses to give up smoking, stating, "I've smoked so long now there's no point quitting as the damage is done." This statement is best understood in the context of which of the following?

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Pender's health promotion model serves as a guide for planning successful education with individuals and targeted high-risk groups. A person's capacity to absorb and use health promotion information depends to a large degree on what the person believes about his or her health and the extent to which personal actions will influence their health. In social learning theory, motivation is a fundamental component of learning readiness. Motivation to change is a state of readiness that fluctuates. Healthy People 2010 represents the health promotion agenda for the nation.

A Patient, Who Is Recovering from a Second Myocardial Infarction